No office rate
35875 describes open clot removal from an arterial or venous graft. Choose 35870 when the service repairs a structural graft defect instead.
On this page
CMS RVU26D · Effective 2026-10-01
35870 Vascular graft repair Medicare reimbursement rates in Florida
Report 35870 when a surgeon repairs a structural defect in an existing blood vessel graft, rather than removing graft clot or revising a femoral anastomosis. Compare 35870 office and facility rates across CMS payment localities in Florida.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 35870 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1232.40–$1453.15
3 of 3 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 35870 pays more and less in Florida
Vascular surgery
About 35870: Open repair of vascular graft defect
Report 35870 when a surgeon repairs a structural defect in an existing blood vessel graft, rather than removing graft clot or revising a femoral anastomosis.
Code 35870 describes operative repair of a defect in an existing blood vessel graft. A vascular surgeon typically performs the work in an operating room, often during a return procedure when inspection identifies damage such as a leak or disruption in the graft. The documented service should show repair of the graft itself, not simply exploration or treatment of a different graft problem such as clot removal.
Report the code when the operative note identifies the graft defect and the repair performed. It has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 35870
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU23.89 · 70%
- Practice expense (office) RVU4.00 · 12%
- Malpractice RVU6.11 · 18%
23
Medicare services in 2024 · #5844 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
35870 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
35876 is for open graft thrombectomy with revision. It applies when the service includes clot removal and graft revision, not simply repair of a defect.
No office rate
35879 addresses revision of a femoral anastomosis involving a nonautogenous graft. It is not the general code for repairing a defect elsewhere in a graft.
No office rate
35881 addresses revision of a femoral anastomosis involving an autogenous vein graft; 35870 describes repair of a graft defect.
Compare 35870 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$1302.26
Miami →
Office / nonfacility
Unavailable
Facility
$1453.15
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$1232.40
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35870 billing questions
How is 35870 different from graft thrombectomy?
Use 35870 for repair of a structural defect in the graft. Codes 35875 and 35876 describe open removal of clot, with 35876 also including graft revision.
When is a femoral anastomosis revision a better fit?
Use the applicable femoral anastomosis revision code when the operative service revises that connection. Codes 35879 and 35881 distinguish nonautogenous from autogenous vein grafts.
What documentation supports reporting 35870?
Document the existing graft, the defect found, and the specific repair performed. The record should make clear that the service repaired the graft rather than only exploring it or removing a clot.
How does the 90-day global period affect follow-up?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can 35870 be reported with another procedure in the same session?
It may be reported when a distinct additional procedure is performed. Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others at 50%; an assistant may be paid, while co-surgeon payment requires supporting documentation.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,41635820,,Explore chest vessels,A,,35.97,11.22,NA,11.22,,8.82,56.01,56.01,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,41735840,,Explore abdominal vessels,A,,20.23,8.38,NA,8.38,,5.02,33.63,33.63,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,41835860,,Explore limb vessels,A,,14.87,4.66,NA,4.66,,3.69,23.22,23.22,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,41935870,,Repair vessel graft defect,A,,23.89,4.00,NA,4.00,,6.11,34.00,34.00,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,42035875,,Removal of clot in graft,A,,10.45,3.03,NA,3.03,,2.64,16.12,16.12,0,090,0.09,0.84,0.07,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,42135876,,Removal of clot in graft,A,,17.37,3.94,NA,3.94,,4.33,25.64,25.64,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,42235879,,Revise graft w/vein,A,,16.97,3.89,NA,3.89,,4.32,25.18,25.18,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00